FORM 1023-EZ for ADDICTION RECOVERY RESOURCES

Field Data
EIN 81-1719229
Case Number EO-2016242-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADDICTION RECOVERY RESOURCES
Organization’s Mailing Address 1800 MAIN ST SUITE 107
City TUPELO
State MS
ZIP 38801
Accounting period End 12
Primary contact name CLAYTON MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH HENRY
PRESIDENT
278 N MAIN ST
PONTOTOC MS 38863

Officer/Director/Trustee Two

DIXON LAIRD
EXECUTIVE DIRECTOR
212 6TH ST NORTH
AMORY MS 38821

Officer/Director/Trustee Three

DALE NABORS
SECRETARY
887 COUNTRY OAKS CR
TUPELO MS 38801

Officer/Director/Trustee Four

BOBBY PEPPER
BOARD MEMBER
1242 SOUTH GREEN ST
TUPELO MS 38804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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